| NPI | 1487114682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036160770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.160770) |
| 207R00000X Internal Medicine (Licence: MI 4351044219) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2026-05-06 |